Korean J Med.
2004 Aug;67(2):204-207.
A case of localized fibrous tumor of the pleura presenting with hypoglycemia
- Affiliations
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- 1Department of Internal Medicine, Goheung General Hospital, Chunnam, Korea. bong2888@lycos.co.kr
- 2Department of Chest Surgery, Goheung General Hospital, Chunnam, Korea.
- 3Department of Radiology, Goheung General Hospital, Chunnam, Korea.
Abstract
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Localized fibrous tumor of the pleura is rare, slowly growing, benign tumor. Most of these tumors clinically behave asymptomatically, although tumor-associated hypoglycemia occurs in a few cases and lead to hypoglycemic coma. Laboratory investigations show elevation of IGF-II with a 2-3 times higher effect on the blood glucose level than insulin. Surgical resection of the tumor is recommended. We report on the case of a 81-year-old man, who complained of hypoglycemic episodes. Diagnostic evaluation showed a fibrous tumor of pleura attached to the right diaphragm.